CPT code 27760: Ankle fracture care, medial malleolus, no manipulation2026 Medicare rate & RVUs in Sacramento, CA

Reports definitive closed care of a medial malleolus fracture when the physician treats the inner ankle fracture without manipulating it.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Sacramento, CA, Medicare pays $412.15 for 27760 in the office and $346.12 when it’s performed in a hospital or facility.

$412.15Office (non-facility)
$346.12Hospital or facility
+9.5%vs the national office rate ($376.43)

Check a contract rate as a % of Medicare · 27760 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Sacramento, CA
  2. What 27760 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27760 covers

This code covers definitive closed treatment of a fracture of the medial malleolus, the bony prominence on the inner side of the ankle, when the physician does not manipulate the fracture. An orthopedist or another physician managing the fracture may use it when the fracture can be treated without a reduction maneuver, with immobilization such as a cast or splint as clinically appropriate. It represents fracture care rather than only an initial evaluation or temporary stabilization before transfer of care.

Choose this code when the record identifies the medial malleolus fracture and supports treatment without manipulation; document the injury, treatment plan, and immobilization. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Sacramento, CA compares for 27760

Across 109 of 109 payment localities, the office rate for 27760 runs from $331.31 in Arkansas to $490.25 in San Benito County, CA. Sacramento, CA pays $412.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

27760 in Sacramento, CA vs other payment areas
  1. Sacramento, CA · this page$412.15
  2. Bakersfield, CA · California$394.92−$17.23
  3. Chico, CA · California$393.27−$18.88
  4. El Centro, CA · California$393.37−$18.78
  5. Fresno, CA · California$393.27−$18.88
  6. Hanford, CA · California$393.27−$18.88
  7. Los Angeles, CA · California$420.24+$8.09

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

27760 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$393.27$331.04
Merced, CACalifornia$393.27$331.04
Modesto, CACalifornia$393.27$331.04
Napa, CACalifornia$453.51$378.67
Oxnard, CACalifornia$417.82$350.71
Redding, CACalifornia$393.27$331.04
Rest of CaliforniaCalifornia$393.27$331.04
Riverside, CACalifornia$399.62$337.39

27760 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$331.31

$441.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$436.241
AL$336.351
AR$331.311
AZ$365.771
CA$393.27–$490.2529
CO$389.511
CT$402.081
DC$429.191
DE$371.931
FL$375.24–$416.903
GA$352.98–$384.742
GU$402.681
HI$402.681
IA$343.111
ID$345.871
IL$365.58–$403.944
IN$347.891
KS$342.441
KY$346.761
LA$346.60–$364.232
MA$387.47–$427.472
MD$378.88–$429.193
ME$348.80–$366.892
MI$357.03–$381.122
MN$369.871
MO$341.12–$364.363
MS$336.231
MT$376.391
NC$352.421
ND$364.721
NE$344.751
NH$384.301
NJ$405.72–$424.702
NM$359.461
NV$373.391
NY$357.97–$447.675
OH$354.651
OK$345.051
OR$369.57–$401.052
PA$354.67–$392.452
PR$378.911
RI$384.611
SC$354.311
SD$363.341
TN$344.361
TX$352.33–$389.028
UT$359.291
VA$366.35–$429.192
VI$378.911
VT$364.171
WA$386.44–$435.292
WI$352.201
WV$351.891
WY$371.301

See 27760 in every payment locality

How the 27760 rate is calculated

Each of 27760’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27760

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.13

3.13 RVUs× 1.000 GPCI

Practice expense7.55

7.55 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

11.2700

Conversion factor

$33.4009

Medicare rate

$376.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Sacramento, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,041

Code
27760
Physician work
3.13
Practice expense
7.55
Malpractice
0.59

GPCI2026.csv

21

Locality
Sacramento, CA
Physician work
1.036
Practice expense
1.163
Malpractice
0.536
Office calculation for 27760 in Sacramento, CA
ComponentRVULocality factorAdjusted
Physician work3.13× 1.0363.2427
Practice expense7.55× 1.1638.7806
Malpractice0.59× 0.5360.3162
Total RVUs12.3396
Conversion factor× 33.4009

Office rate, Sacramento, CA$412.15

Office: (3.13 × 1.036 + 7.55 × 1.163 + 0.59 × 0.536) × $33.4009 = $412.15

Facility: (3.13 × 1.036 + 5.85 × 1.163 + 0.59 × 0.536) × $33.4009 = $346.12

Open 27760 in the RVU calculator

Payment rules and modifiers for 27760

27760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27760

Ankle fracture care, medial malleolus, no manipulation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27760

Ankle fracture care, medial malleolus, no manipulation

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27760 without 50 · national office

$376.43

Ankle fracture care, medial malleolus, no manipulation

27760-50 · Bilateral: 150%

$564.65

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 27760 has changed in Sacramento, CA

27760 · Office / nonfacility

$412.15

Effective 2026-10-01

The base rate is $41.13 higher than on 2025-10-01, moving from $371.02 to $412.15 (11.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $371.02changed to$412.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.21 changed to 3.13
    • Practice expense RVU 6.77 changed to 7.55
    • Malpractice RVU 0.58 changed to 0.59
    • Work GPCI 1.034 changed to 1.036
    • Practice expense GPCI 1.156 changed to 1.163
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $377.01changed to$371.02

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.65 changed to 6.77
    • Malpractice RVU 0.57 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $370.85changed to$377.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $367.69changed to$370.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.44 changed to 6.65
    • Malpractice RVU 0.55 changed to 0.57
    • Work GPCI 1.036 changed to 1.034
    • Practice expense GPCI 1.119 changed to 1.156
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $359.77changed to$367.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.22 changed to 6.44
    • Malpractice RVU 0.57 changed to 0.55
    • Work GPCI 1.038 changed to 1.036
    • Practice expense GPCI 1.081 changed to 1.119
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $358.12changed to$359.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.12 changed to 6.22
    • Malpractice RVU 0.56 changed to 0.57
    • Work GPCI 1.036 changed to 1.038
    • Practice expense GPCI 1.079 changed to 1.081

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $356.65changed to$358.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.79 changed to 6.12
    • Work GPCI 1.033 changed to 1.036
    • Practice expense GPCI 1.078 changed to 1.079
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $356.42changed to$356.65

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.77 changed to 5.79
    • Malpractice RVU 0.52 changed to 0.56
    • Work GPCI 1.027 changed to 1.033
    • Practice expense GPCI 1.092 changed to 1.078
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $356.90changed to$356.42

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.83 changed to 5.77
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.086 changed to 1.092

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $351.66changed to$356.90

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.73 changed to 5.83
    • Malpractice RVU 0.53 changed to 0.52
    • Work GPCI 1.024 changed to 1.025
    • Practice expense GPCI 1.080 changed to 1.086
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$351.66

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$412.15$346.12RVU26D
2026-07-01$412.15$346.12RVU26C
2026-04-01$412.15$346.12RVU26B
2026-01-01$412.15$346.12RVU26A
2025-10-01$371.02$340.35RVU25D
2025-07-01$371.02$340.35RVU25C
2025-04-01$371.02$340.35RVU25B
2025-01-01$371.02$340.35RVU25A
2024-10-01$377.01$345.84RVU24D
2024-07-01$377.01$345.84RVU24C
2024-04-01$377.01$345.84RVU24B
2024-03-09$377.01$345.84RVU24AR
2024-01-01$370.85$340.19RVU24A
2023-10-01$367.69$337.73RVU23D
2023-07-01$367.69$337.73RVU23C
2023-04-01$367.69$337.73RVU23B
2023-01-01$367.69$337.73RVU23A
2022-10-01$359.77$331.34RVU22D
2022-07-01$359.77$331.34RVU22C
2022-04-01$359.77$331.34RVU22B
2022-01-01$359.77$331.34RVU22A
2021-10-01$358.12$328.75RVU21D
2021-07-01$358.12$328.75RVU21C
2021-04-01$358.12$328.75RVU21B
2021-01-01$358.12$328.75RVU21A
2020-10-01$356.65$327.47RVU20D
2020-07-01$356.65$327.47RVU20C
2020-04-01$356.65$327.47RVU20B
2020-01-01$356.65$327.47RVU20A
2019-10-01$356.42$325.72RVU19D
2019-07-01$356.42$325.72RVU19C
2019-04-01$356.42$325.72RVU19B
2019-01-01$356.42$325.72RVU19A
2018-10-01$356.90$322.88RVU18D
2018-07-01$356.90$322.88RVU18C
2018-04-01$356.90$322.88RVU18B
2018-01-01$356.90$322.88RVU18AR1
2017-10-01$351.66$319.88RVU17D
2017-07-01$351.66$319.88RVU17C
2017-04-01$351.66$319.88RVU17B
2017-01-01$351.66$319.88RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 27760 for an earlier date of service

Where the Sacramento, CA rate applies

Sacramento, CA is a Medicare payment area, not a city. Our Census mapping connects it to 89 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Folsom
  • Roseville
  • Sacramento
  • Alta
  • Antelope
  • Arden-Arcade
  • Auburn
  • Auburn Lake Trails

Browse all communities in California

27760 billing questions

How does this differ from 27762?

Use 27760 when the medial malleolus fracture is treated without manipulation. Code 27762 is for closed treatment that includes manipulation.

When is 27766 more appropriate?

Code 27766 describes open treatment of a medial malleolus fracture. This code is for closed treatment without manipulation.

Can the initial cast or splint be billed separately?

Routine immobilization associated with definitive fracture care is part of the treatment service. Do not report a separate application as though it were an unrelated service.

What documentation supports reporting this code?

Document that the fracture involves the medial malleolus, the physician is providing definitive fracture care, and no manipulation was performed.

How is bilateral treatment handled?

For treatment on both sides, modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27760PPRRVU2026_Oct_nonQPP.csv, line 3,041 (RVU26D)
Geographic factors for Sacramento, CAGPCI2026.csv, line 21 (RVU26D)

Open CMS sourceHow we calculate rates

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